PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species ^_Tl ^ bjU-d Number e* 1 
Dales : processed .. - _ L/^1- — collected 1__Oc±_{±Q 
Locality 
Sex 
Age 
Weight 
(dissection plumage soft parts ^ ) 
p lumage soft parts \ 
Fat _ Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
* 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Remarks SSL L j£N=t 
jLc/La-- _ ^ 
